S. 607 — what changed
Rural Community Hospital Demonstration Extension Act of 2015
From Reported in Senate to Engrossed in Senate. 1 section amended between Reported in Senate and Engrossed in Senate.
Sec. 2 Five-year extension of the rural community hospital demonstration program
Extension— Section 410A of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108–173; 42 U.S.C. 1395ww note), as amended by sections 3123 and 10313 of the Patient Protection and Affordable Care Act (Public Law 111–148), is amended—
in subsection (a)(5), by striking “5-year extension period” and inserting “10-year extension period”; and
in subsection (g)—
in the subsection heading, by striking “Five-Year” and inserting “Ten-Year”;
changed
in paragraph (1), by striking “additional 5-year” and inserting “additional 10-year”; and10-year”;
changed
by striking “5-year extension period” and inserting “10-year extension period” each place it appears .appears;
added
in paragraph (4)(B)—
added
in the matter preceding clause (i), by inserting “each 5-year period in” after “hospital during”; and
added
in clause (i), by inserting “each applicable 5-year period in” after “the first day of”; and
added
by adding at the end the following new paragraphs:
added “(5) Other hospitals in demonstration program—During the second 5 years of the 10-year extension period, the Secretary shall apply the provisions of paragraph (4) to rural community hospitals that are not described in paragraph (4) but are participating in the demonstration program under this section as of December 30, 2014, in a similar manner as such provisions apply to rural community hospitals described in paragraph (4).
added “(6) Expansion of demonstration program to rural areas in any State
added “(A) In general—The Secretary shall, notwithstanding subsection (a)(2) or paragraph (2) of this subsection, not later than 120 days after the date of the enactment of this paragraph, issue a solicitation for applications to select up to the maximum number of additional rural community hospitals located in any State to participate in the demonstration program under this section for the second 5 years of the 10-year extension period without exceeding the limitation under paragraph (3) of this subsection.
added “(B) Priority—In determining which rural community hospitals that submitted an application pursuant to the solicitation under subparagraph (A) to select for participation in the demonstration program, the Secretary—
added “(i) shall give priority to rural community hospitals located in one of the 20 States with the lowest population densities (as determined by the Secretary using the 2015 Statistical Abstract of the United States); and
added “(ii) may consider—
added “(I) closures of hospitals located in rural areas in the State in which the rural community hospital is located during the 5-year period immediately preceding the date of the enactment of this paragraph; and
added “(II) the population density of the State in which the rural community hospital is located.”
changed
Change in timing for report— Subsection (e) of such section 410A is amended by striking “Not later than 6 months after the completion” and inserting “Not later than 2 years prior to the completion”.amended—
added
by striking “Not later than 6 months after the completion of the demonstration program under this section” and inserting “Not later than August 1, 2018”; and
added
by striking “such program” and inserting “the demonstration program under this section”.